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Question 1

1. The nurse is reviewing conditions caused by nutrient deficiencies. Conditions such as infantile rickets, tetany, and osteomalacia are caused by a deficiency in which vitamin or mineral?

Answer 1

Vitamin D

Question 2

2. The nurse is preparing a plan of care for a patient undergoing therapy with vitamin A. Which nursing diagnosis is appropriate for this patient?

Answer 2

Risk for injury related to night blindness caused by vitamin deficiency

Question 3

3. A patient is on vitamin D supplemental therapy. The nurse will monitor for which signs of toxicity during this therapy?

Answer 3

Anorexia

Question 4

4. The nurse is counseling a patient about calcium supplements. Which dietary information is appropriate during this teaching session?

Answer 4

“Be sure to eat foods high in calcium, such as dairy products and salmon.”

Question 5

5. The nurse will prepare to give which preparation to a newborn upon arrival in the nursery after delivery?

Answer 5

Vitamin K (AquaMEPHYTON)

Question 6

6. A patient with a history of alcohol abuse has been admitted for severe weakness and malnutrition. The nurse will prepare to administer which vitamin preparation to prevent Wernicke’s encephalopathy?

Answer 6

Vitamin B1 (thiamine)

Question 7

7. Niacin is prescribed for a patient who has hyperlipidemia. The nurse checks the patient’s medical history, knowing that this medication is contraindicated in which disorder?

Answer 7

Liver disease

Question 8

8. A patient will be starting vitamin D supplements. The nurse reviews his medical record for contraindications, including which condition?

Answer 8

Renal disease

Question 9

9. A patient accidentally took an overdose of the anticoagulant warfarin (Coumadin), and the nurse is preparing to administer vitamin K as an antidote. Which statement about vitamin K is accurate?

Answer 9

The patient will be unresponsive to warfarin therapy for 1 week after the vitamin K is given.

Question 10

10. A newly admitted patient has orders for a zinc supplement. The nurse reviews the patient’s medical history and concludes that the zinc is ordered for which reason?

Answer 10

To aid in wound healing

Question 11

1. The nurse is reviewing vitamin therapy in preparation for a nutrition class. Which statements are accurate regarding vitamin C (ascorbic acid)? (Select all that apply.)

Answer 11

Vitamin C is important in the maintenance of bone, teeth, and capillaries.

Vitamin C is important for tissue repair.

Vitamin C is found in tomatoes, strawberries, and broccoli.

Vitamin C deficiency is known as scurvy.

Question 12

2. The patient asks the nurse about taking large doses of vitamin C to improve her immunity to colds. “It’s just a vitamin, right? What can happen?” Which responses by the nurse are correct? (Select all that apply.)

Answer 12

“Large doses of vitamin C can cause nausea, vomiting, headache, and abdominal cramps.”

“Keep in mind that if you suddenly stop taking these large doses, you might experience symptoms similar to scurvy.”

“Studies have shown that vitamin C has little value in preventing the common cold.”

“Vitamin C acidifies the urine, which can lead to the formation of kidney stones.”

Question 13

3. During an intravenous infusion of calcium, the nurse carefully monitors the patient for symptoms of hypercalcemia. Which are symptoms of hypercalcemia? (Select all that apply.)

Answer 13

Anorexia

Nausea and vomiting
Constipation
Cardiac irregularities